ABSTRACT
BACKGROUND: Patient blood management (PBM) is an evidence-based care bundle with proven ability to improve patients' outcomes by managing and preserving the patient's own blood. Since 2010, the World Health Organisation has urged member states to implement PBM. However, there has been limited progress in developing PBM programmes in hospitals due to the implicit challenges of implementing them. To address these challenges, we developed a Maturity Assessment Model (MAPBM) to assist healthcare organisations to measure, benchmark, assess in PBM, and communicate the results of their PBM programmes. We describe the MAPBM model, its benchmarking programme, and the feasibility of implementing it nationwide in Spain. MATERIALS AND METHODS: The MAPBM considers the three dimensions of a transformation effort (structure, process and outcomes) and grades these within a maturity scale matrix. Each dimension includes the various drivers of a PBM programme, and their corresponding measures and key performance indicators. The structure measures are qualitative, and obtained using a survey and structured self-assessment checklist. The key performance indicators for process and outcomes are quantitative, and based on clinical data from the hospitals' electronic medical records. Key performance indicators for process address major clinical recommendations in each PBM pillar, and are applied to six common procedures characterised by significant blood loss. RESULTS: In its first 5 years, the MAPBM was deployed in 59 hospitals and used to analyse 181,826 hospital episodes, which proves the feasibility of implementing a sustainable model to measure and compare PBM clinical practice and outcomes across hospitals in Spain. CONCLUSION: The MAPBM initiative aims to become a useful tool for healthcare organisations to implement PBM programmes and improve patients' safety and outcomes.
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Blood Preservation/methods , Blood Transfusion/methods , Patient Safety , Transfusion Reaction/prevention & control , Hospital Administration , Hospitals , Humans , SpainABSTRACT
No disponible
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Humans , Aged , Geriatrics , Hospital Units/organization & administration , Efficiency, OrganizationalSubject(s)
Geriatrics , Hospital Units/organization & administration , Aged , Efficiency, Organizational , HumansABSTRACT
No disponible
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Humans , Evaluation of Results of Preventive Actions/trends , Disease Prevention , Neoplasms/diagnosis , Early Diagnosis , Cardiovascular Diseases/diagnosis , Preventive Medicine/methodsSubject(s)
Medical Overuse , Anxiety/etiology , Early Detection of Cancer/adverse effects , Early Detection of Cancer/psychology , Early Detection of Cancer/trends , Evidence-Based Medicine , Humans , Mass Screening/adverse effects , Mass Screening/psychology , Mass Screening/trends , Medical Overuse/prevention & control , Medical Overuse/trends , Practice Guidelines as Topic , UncertaintyABSTRACT
No disponible
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Health Care Reform/methods , Health Care Reform/organization & administration , Health Care Reform/standards , Hospital Administration/legislation & jurisprudence , Hospital Administration/standards , 50230 , Hospitalization/legislation & jurisprudence , /organization & administration , /standardsSubject(s)
Health Care Reform , Health Services Needs and Demand , Hospitals/trends , Access to Information , Chronic Disease , Clinical Competence , Decision Making , Efficiency , Geriatrics , Guidelines as Topic , Hospital Administration/trends , Hospital Volunteers , Humans , Intensive Care Units/organization & administration , Interdisciplinary Communication , Medicine , Patient Participation , Personnel, Hospital/education , Precision Medicine , Quality ImprovementSubject(s)
Humans , Health Systems/economics , Delivery of Health Care/organization & administration , Delivery of Health Care/standards , /methods , /organization & administration , /standards , Quality of Health Care/organization & administration , Quality of Health Care/standards , Indicators of Quality of Life , Quality Indicators, Health Care/organization & administration , Quality Indicators, Health Care/standards , 34002 , Primary Health Care/economics , Primary Health Care/organization & administration , Primary Health Care/standards , Benchmarking/organization & administration , Benchmarking/standardsABSTRACT
No disponible
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Humans , Hospital Administration/trends , /trends , Health Care Rationing/trends , Unnecessary Procedures/economicsSubject(s)
Cost Savings/methods , Economics, Hospital , Health Care Reform/organization & administration , Hospitals/standards , Quality Improvement/organization & administration , Cost-Benefit Analysis , Health Care Reform/economics , Health Services Misuse , Hospital Administration , Humans , Patient Participation , Quality Improvement/economics , SpainABSTRACT
No disponible
No disponible
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Humans , Interdisciplinary Communication , LeadershipSubject(s)
Cultural Diversity , Health Services Administration , Hospitals , Adolescent , Adult , Aged , Catchment Area, Health , Ethnicity/statistics & numerical data , Female , Humans , Male , Middle Aged , Prevalence , Spain/epidemiologyABSTRACT
No disponible
No disponible
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Humans , Cultural Diversity , Delivery of Health Care/trends , Hospital Departments/trends , Emigration and Immigration/trends , Health Systems Plans/organization & administrationABSTRACT
No disponible